深圳市龙岗区男男性行为者HIV感染状况及其高危行为特征分析  

HIV infection and high-risk behavior characteristics among MSM population in Longgang district,Shenzhen city

作　　者：李晓霞[1] 刘渠[1] 谢显清 龙清平[1] 刘海文[1] 叶伟雄[1] 覃佩兰[1] 刘锦花[1] 陈小燕[1] 陈绍山[2] 农秋苗 LI Xiaoxia1 , LIU Qu1 , XIE Xianqing1 , LONG Qingping1 , LIU Haiwen1 , YE Weiwiong1 , QIN Peilan1 , LIU Jinhua1, CHEN Xiaoyan1, CHEN Shaoshan2, NONG Qiumiao3(1. Shenzhen Longgang District Center for Disease Control and Prevention, Shenzhen, 5181 72, China; 2. People＇s Hospital of Shenzhen Longgang District ; 3. Longgang District Disease Prevention and Health Care Departmen)

机构地区：[1]深圳市龙岗区疾病预防控制中心,广东深圳518172 [2]深圳市龙岗区人民医院,广东深圳518172 [3]深圳市龙岗区龙岗预防保健所,广东深圳518116

出　　处：《中国艾滋病性病》2018年第3期246-249,共4页Chinese Journal of Aids & STD

基　　金：深圳市龙岗区科技计划项目(20170323171241936);深圳市科技计划项目(JCYJ20170303101644483)~~

摘　　要：目的了解深圳市龙岗区男男性行为者（MSM）的艾滋病病毒（HIV）感染状况及其高危行为特征,分析HIV感染的影响因素,为在龙岗区MSM中采取针对性的干预措施提供参考依据。方法 2015年1月至2016年12月,在龙岗区MSM聚集场所,采用时间场所抽样（TLS）和＂滚雪球＂的抽样方式获取样本,并进行单因素和多因素Logistic回归分析,双侧P〈0.05为检验水准,显示差异有统计学意义。结果共调查研究801人,平均（26.5±4.3）岁,青壮年为主;高中/中专及以上占58.80%。HIV感染率为18.48%（148例）,梅毒感染率为16.48%（132例）,丙型肝炎病毒感染率为0.37%（3例）。梅毒感染[比值比（OR）=3.44,95%可信区间（CI）：1.40~8.46）]、发生肛交（OR=1.86,95%CI：1.07~3.23）是HIV感染的危险因素;肛交时坚持使用安全套（OR=0.34,95%CI：0.17~0.69）是HIV感染的保护因素。结论龙岗区MSM中HIV感染率较高;梅毒感染、发生肛交是导致HIV感染的危险因素。提示应继续强化性病治疗转介服务,提高安全性行为比例,降低MSM艾滋病的发病率。Objective To investigate the status of HIV infection and the characteristics of high-risk behaviors among MSM population,and to analyze the influencing factors of HIV infection,in order to provide a reference for HIV targeted intervention measures in MSM population of Longgang district.Methods The participants were recruited from the gathering settings of MSM in Longgang district,from January,2015 to December,2016.Time-location sampling and ＂snowball sampling＂were conducted.The chi-square tests were used for uni-variate analyses and unconditional logistic regression models were used for multivariate analyses.Results Among the total 801 subjects,the mean age was 26.5±4.3 years,and those with education level of high school/secondary school and above accounted for 58.80%.The infection rate of HIV,syphilis,and hepatitis C was 18.48%,16.48%,and 0.37%respectively.The risk factors for HIV-infection were syphilis-infected（OR= 3.44,95%CI：1.40-8.46）,and anal intercourse（OR=1.86,95%CI：1.07-3.23）.Consistent condom use in anal intercourse（OR=0.34,95%CI：0.17-0.69）was the protective factor for HIV-infection.Conclusion HIV-infection is relatively high among MSM.Syphilis-infection,and anal intercourse are risk factors of HIV-infection.To reduce HIV-infection among MSM,we should strengthen the STDs referral services,encourage early treatment,and decrease the frequency of anal intercourse.

关 键 词：男男性行为者 艾滋病病毒 感染状况 高危行为 

分 类 号：R512.91[医药卫生—内科学] R373.9[医药卫生—临床医学]